Changes to a C-II: prescriber

Discussion in 'Pharmacy' started by akaykay, 05.15.14.

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  1. akaykay

    akaykay Rookie 7+ Year Member

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    Medicare is rejecting C-IIs written by residents and patients getting discharged from the hospital are getting upset because the retails are sending them back to us requiring the attending to sign. Is there an exception to the rule of changing prescriber signature?? It's really inconvenient for the patient who was just hospitalized.
     
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  3. zelman

    zelman 7+ Year Member

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    Nope. I can't change a signature.
     
  4. npage148

    npage148 Senior Member 10+ Year Member

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    I always make it abundantly clear to the patient it is the fault of the hospital and not us when they need to take a CS. Ours love to do 1-2 q6h prn disp:10day and they always have to go back to fix em
     
  5. Wheresmyaricept

    Wheresmyaricept 2+ Year Member

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    We cannot change the patient name, the drug prescribed, or the prescriber.

    http://www.deadiversion.usdoj.gov/mtgs/drug_chemical/2011/gallagher.pdf
     
  6. sosoo

    sosoo 7+ Year Member

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    u think thats bad. medicare requires ppl wanting test strips to come to the store and sign a paper first. then come back days later to get it filled (per CVS). at least with CII they can still get it same day.
     
  7. owlegrad

    owlegrad Uncontrollable Sarcasm Machine Staff Member SDN Administrator 7+ Year Member

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    Not correct...
     
  8. genesis09

    genesis09 Senior Member 10+ Year Member

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    You can try putting in the dash part of the dea number if they are using the hospital's dea number.
     
  9. HouTX

    HouTX 2+ Year Member

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    we can not process hospital DEA for CS as is. we have to get supervising physician but in CII's case. have the attending sign them and we wouldn't have a problem. company's policy because their software can not take any extra digits (resident's ID) after hospital's DEA

    no exception, you can not change "name, name, name, date"
    name of pt
    name of drug
    name of prescriber
    date
     
  10. zelman

    zelman 7+ Year Member

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    That's your state law. I believe in MA we can change anything but a signature.
     
    HouTX likes this.
  11. ohiopharmacist1

    ohiopharmacist1 2+ Year Member

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    This is the pharmacy's fault. I work at a hospital's outpatient pharmacy and this comes up a lot. Either play it safe and have your attending write it each time, have the patient fill at your hospital's outpatient pharmacy, or include the following instructions with your CII prescriptions:
    -------------------------------------------------------------------------------------------------------------------------------------------------
    If you get a rejection saying that prescriber DEA not associated (or valid,etc) on a Medicare D claim, verify that the DEA and NPI are correct, then use one of the following submission clarification codes in sub clar field #1:

    42 - NPI is valid
    43- DEA is being renewed
    44 - DEA recently reactivated
    45 - DEA is a valid hospital-issued number with suffix
    -------------------------------------------------------------------------------------------------------------------------------------------------
    45 is the most appropriate one for what you're talking about. Just make sure you put your hospital's DEA including your own personal suffix on the prescription. Hope that helps.
     
    LearnerSharer likes this.
  12. PlaceboFX15

    PlaceboFX15

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    In MA, we still cannot change the names of the patient, drug or prescriber.
     

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